| NPI | 1316044852 |
|---|---|
| Other Name | CHRYSALIS |
| Entity Type | Organization |
| Authorized Contact | MARC ROBERT CHRISTENSEN Chief Operations Officer 801-805-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2022-07-21 |